Callysta Johnston, PA-C
NPI 1194489898ActiveIndividual· Physician Assistant· Meridian, ID
Physician Assistant (PA-C) with St Lukes Clinic-Treasure Valley LLC, practicing in Meridian, Idaho. Their prescriptions cost Medicare Part D more than their services did: $19,434 for 167 claims, against $1,309 paid for services in 2024. Lists St Luke's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1194489898 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 28, 2021 |
| Last updated in NPPES | Jun 7, 2023 |
| Certified by provider | Jun 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-2118 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 40 across 6 procedure codes |
| Paid by Medicare | $1,309 |
Part D prescriptions in 2024
| Prescriptions (claims) | 167 · 388 30-day fills |
|---|---|
| Patients | 72 |
| Total drug cost | $19,434 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliation
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 133 physician assistants in Meridian · All physician assistants in Idaho